Pip Davidovich

Your appointment will begin with questions about your medical history and the signing of a consent form. This is also your chance to ask any questions you have about the procedure or recovery.

This is also when you’ll be given pain medication to help with cramping if you haven’t already taken something.

The following is a rundown of the other things that you can expect on IUD replacement day.

Your appointment may or may not begin with a pregnancy test, says Alyssa Dweck, MD, OB-GYN, author of “The Complete A to Z for Your V” and sexual health expert for INTIMINA.

“As long as the IUD hasn’t reached its expiration date, there’s no need for a pregnancy test at replacement time,” she says.

“A few caveats: Any abnormal bleeding at the time of replacement does warrant a pregnancy test,” adds Dweck. “Also, if one is using a hormonal IUD for cycle control (e.g., heavy bleeding) and isn’t sexually active, technically a test isn’t needed.”

Your doctor will perform a pelvic exam to check the position of your uterus and feel around for pain or other abnormalities.

The pelvic exam is a bimanual exam, meaning your doctor or another healthcare professional will insert two gloved fingers into your vagina while they use their other hand to press on your abdomen to feel your pelvic organs.

The doctor will insert a lubricated speculum into your vagina. The speculum is the instrument that is used to open up your vaginal walls when you get a Pap test.

This allows the doctor to see your cervix and cleanse your vagina and cervix with antiseptic solution. The doctor may also apply a topical anesthetic to numb your cervix and help minimize discomfort.

Your doctor will use ring forceps to grasp the IUD strings and gently pull it out. This usually causes the arms of the IUD to collapse upward so the IUD slides out easily.

Once the IUD is out, a thin device called a uterine sound (basically a ruler for your V) is inserted into the vagina to measure the length of your uterine cavity and cervical canal.

This helps ensure the IUD gets inserted at the right depth and angle.

Next, they’ll stabilize your cervix with a long, narrow instrument called a tenaculum.

Your doctor will then remove the IUD from its sterile packaging, bend its arms back, and use a tube or slider to insert it through your vaginal canal and cervix into your uterus to the depth indicated by the sound.

A quick ultrasound is sometimes performed after IUD insertion to check the placement of your new IUD.

An ultrasound is NBD. To do it, your doctor will apply gel to your lower abdomen and slide a device called a transducer over your skin to produce images of your uterus.

If your OG IUD is difficult to remove or your strings have disappeared, an ultrasound might be used to figure out what’s happening and see where the IUD is positioned.

After the IUD replacement is finished, you’ll be able to lie there for a few minutes to make sure you feel OK before leaving.

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